My immediate thought would be that they may have a wide gap in their abdo muscles which instead of supporting the uterus allows it to drop into the gap when they are upright. Of course when they lie down the uterus falls back and on palp all feels OK. What happens though is that with the uterus too far forward the baby is not encouraged into the pelvis and hence no real stimulation of the cervix to encourage prostaglandin, or oxytocin production or provide mechanical dilatation. What to do is maybe encourage wearing of firm undies that support the abdo. (A woman told me the other day that when she had her babies in the sixties they were told to wear very firm underwear that supported the stomach muscles.) Sport nicks would be what I would suggest. Hope this helps and this is the sort of stuff we all hold in our heads but nobody gets around to writing down
Andrea Quanchi
On Sunday, July 20, 2003, at 01:04 AM, Ken Ward wrote:


We have recently had two women, third pregnancies, experiencing difficult
spurious labours. They have come in, contracting 2/60, with what feels like
good conts. But have gotten no where. Bubs head high, no dilatation, just an
exhausted mum and very tired and puzzled support people. I have done a search
on the net, but no research seems to have been done. Anecdotal evidence
suggests third pregnancies often fiddle around. Anyone have any suggestions as
to why, and what can be done to support these women? Maureen.


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